| Advanced Endoscopy Consultants | |
|
9456 Cuyamaca St #102 Santee CA 92071-5918 | |
| (619) 270-5665 | |
| (619) 588-4074 |
| Full Name | Advanced Endoscopy Consultants |
|---|---|
| Speciality | Internal Medicine |
| Location | 9456 Cuyamaca St, Santee, California |
| Authorized Official Name and Position | Joseph B Reddy (OWNER) |
| Authorized Official Contact | 6192291005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Endoscopy Consultants 6699 Alvarado Rd #2301 San Diego CA 92120-5238 Ph: (619) 229-1005 | Advanced Endoscopy Consultants 9456 Cuyamaca St #102 Santee CA 92071-5918 Ph: (619) 270-5665 |
| NPI Number | 1770889297 |
|---|---|
| Provider Enumeration Date | 01/31/2011 |
| Last Update Date | 05/17/2023 |
| Medicare PECOS PAC ID | 6204092497 |
|---|---|
| Medicare Enrollment ID | O20120716000100 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770889297 | NPI | - | NPPES |
| 1245215391 | Other | J. REDDY NPI | |
| 8852240 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Joseph Reddy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1245215391 PECOS PAC ID: 1254225873 Enrollment ID: I20040212000673 |
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